Doctor Name: | KYLE G TIMM |
NPI Number: | 1417248741 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT, CSCS |
License Number: | 1176660 |
Business Practice Address: | 1216 Hillcrest Dr Sherman, TX - 750925507 |
Business Phone Number: | 9038937457 |
Business Fax Number: | 9038936671 |
Mailing Address: | 1216 Hillcrest Dr, SHERMAN |
State: | TX |
Postal Code: | 750925507 |
Phone Number: | 9038937457 |
Fax Number: | 9038936671 |
NPI Enumeration Date: | 04/20/2011 |
NPI Last Update Date: | 04/27/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 1176660 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |